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ASSESSING THE INTEGRITY OF MOTIVATIONAL INTERVIEWING INTERVENTIONS: RELIABILITY OF THE MOTIVATIONAL INTERVIEWING SKILLS CODE

Published online by Cambridge University Press:  01 May 2003

Theresa Moyers
Affiliation:
University of New Mexico, Albuquerque, USA
Tim Martin
Affiliation:
University of New Mexico, Albuquerque, USA
Delwyn Catley
Affiliation:
University of Kansas Medical Center, USA
Kari Jo Harris
Affiliation:
University of Kansas Medical Center, USA
Jasjit S. Ahluwalia
Affiliation:
University of Kansas Medical Center, USA

Abstract

The motivational interviewing skills code (MISC) was used to review 86 audiotaped interactions between clinicians and patients participating in a smoking cessation intervention. Intraclass correlations (ICCs) were completed for two of the MISC elements: global evaluations and behavior counts. Results indicate 75% of the global ratings yielded ICCs in the good to excellent range, while only 44% of the behavior counts yielded this level of accuracy. Adherence scores were created to form overall ratings of clinician adherence to using motivational interviewing and 80% of these competence measures yielded ICCs in the good to excellent range. Specific recommendations regarding modifications for the MISC are suggested based on the data presented.

Type
Clinical Section
Copyright
2003 British Association for Behavioural and Cognitive Psychotherapies

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